<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('处方登记记录修改')" />
</head>
<body>
<div class="ui-layout-center">
    <form id="form-SZlglCfdjSaleprescriptioninfo-edit" class="customize-search-form">

        <div class="customize-form-group-container">
            <input type="hidden" id="id" name="id" th:value="${id}">
                    <div class="customize-form-group">
                            <label>销售单号:</label>
                        <input name="saleDocumentNumber" placeholder="销售单号" th:value="${saleDocumentNumber}" class="styled-input" type="text" disabled="true">
                    </div>
                    <div class="customize-form-group select-time">
                            <label>销售时间:</label>
                        <input name="saleTime" placeholder="销售时间" th:value="${saleTime}" class="time-input time-input2" type="text">
                    </div>
                    <div class="customize-form-group select-time">
                            <label>登记时间:</label>
                        <input name="registrationTime" placeholder="登记时间" th:value="${registrationTime}" class="time-input time-input2" type="text">
                    </div>
                    <div class="customize-form-group">
                            <label>处方单号:</label>
                        <input name="prescriptionNumber" placeholder="处方单号" th:value="${prescriptionNumber}" class="styled-input" type="text" disabled="true">
                    </div>
                    <div class="customize-form-group">
                            <label>类型:</label>
                        <select name="types" class="styled-input" th:with="type=${@dict.getType('sys_select_prescription_ype')}">
                            <option th:each="dict : ${type}" th:text="${dict.dictLabel}" th:value="${dict.dictLabel}"
                                    th:selected="${dict.dictLabel}==${types}"></option>
                        </select>
                    </div>
                    <div class="customize-form-group select-time">
                            <label>处方日期:</label>
                        <input name="prescriptionDate" placeholder="处方日期" th:value="${prescriptionDate}"  class="time-input time-input2" type="text">
                    </div>
                    <div class="customize-form-group">
                            <label>医疗机构名称:</label>
                        <input name="medicalInstitutionName" placeholder="医疗机构名称" th:value="${medicalInstitutionName}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                            <label>医生姓名:</label>
                        <input name="doctorName" placeholder="医生姓名" th:value="${doctorName}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                            <label>顾客信息:</label>
                        <input name="customerInfo" placeholder="顾客信息" th:value="${customerInfo}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                            <label>审方药师:</label>
                        <input name="reviewingPharmacist" placeholder="审方药师" th:value="${reviewingPharmacist}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                            <label>调配员:</label>
                        <input name="dispenser" placeholder="调配员" th:value="${dispenser}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                            <label>复核员:</label>
                        <input name="checker" placeholder="复核员" th:value="${checker}" class="styled-input" type="text">
                    </div>
        </div>
    </form>
</div>
<div class="main-content">
    <div class="col-sm-offset-5 col-sm-10">
        <button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>&nbsp;
        <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>
    </div>
</div>
<th:block th:include="include :: footer" />
</body>
</html>
<script>
    function submitHandler() {
        var prefix = ctx + "zlgl/szlglcfdjsaleprescriptioninfo";
        if ($.validate.form()) {
            var data = $("#form-SZlglCfdjSaleprescriptioninfo-edit").serializeArray();
            $.operate.saveTab(prefix + "/sZlglCfdjSaleprescriptioninfoEdit", data);
        }
    }
</script>
